| NPI | 1053705061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMUTHA RAGURAM Dentist 650-576-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 10125) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |